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Organization
LONGVIEW RESTORATIVE THERAPY
Active
Organization
LONGVIEW RESTORATIVE THERAPY
Active
Other names
Mt. Pleasant Restorative Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC BREVARD DC (MANAGING AUTHORITY)
(903) 845-8445
Entity
Organization
Contact information
Practice address
2320 HARTS BLUFF RD, MT PLEASANT, TX 75455-7453
(903) 845-8445
(903) 845-8421
Mailing address
404 W UPSHUR AVE, GLADEWATER, TX 75647-2124
(903) 845-8445
(903) 845-8421
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
M3109
TX
Other
Enumeration date
10/25/2006
Last updated
08/22/2020
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